scholarly journals The Relationship Between Markers Derived From Ambulatory Blood Pressure Monitoring and Preterm Birth and Neonatal Weight in Patients With Preeclampsia

2021 ◽  
Author(s):  
Yifu Shi ◽  
Wenchao Cao ◽  
Zewen Feng ◽  
Haolin Mai ◽  
Renjie Xie ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Regression Analysis ◽  
Preterm Birth ◽  
Blood Pressure Monitoring ◽  
Statistical Association ◽  
Pressure Monitoring ◽  
Pressure Index ◽  
Pressure Load ◽  
Blood Pressure Load ◽  
The Relationship

Abstract Background: In order to discern the relationship between ambulatory blood pressure monitoring-related indices and preterm birth and newborn weight in patients with preeclampsia. Methods: Sixty-seven patients with preeclampsia were included in the present study. We used logistic regression analysis to determine the relationship between blood pressure index and preterm birth risk, and to find the best threshold to predict preterm birth using an ROC curve. The relationship between the blood pressure index and neonatal weight was best described by linear regression analysis. Results: The main result are as follows. Nocturnal diastolic blood pressure load (OR =1.045, 95% Cl 1.016–1.076, P=0.002) has significant statistical association with preterm birth, but there was no statistical association between other indicators and preterm birth. Nocturnal systolic blood pressure, nocturnal systolic blood pressure load, and nocturnal diastolic blood pressure load each showed a significant negative correlation with neonatal weight. Other indicators were also negatively correlated, but these were not statistically significant. The predictive thresholds for nDBP load, as follows: for nDBP load at 73.8% a sensitivity of 0.78 and specificity of 0.70. Conclusions: In conclusion, in women with preeclampsia, elevated nDBP load has significant positive correlation with the risk of preterm birth, and nSBP, nSBP load and nDBP load has negative correlation with birth weight in newborns.Trial registration: Not applicable

Ambulatory blood pressure monitoring: mean blood pressure and blood pressure load

2005 ◽  
Vol 20 (10) ◽  
pp. 1484-1486 ◽  
Author(s):  
Susan Koshy ◽  
Colin Macarthur ◽  
Sanjeev Luthra ◽  
Mukesh Gajaria ◽  
Denis Geary
Keyword(s):  
Blood Pressure ◽  
Ambulatory Blood Pressure Monitoring ◽  
Ambulatory Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Mean Blood Pressure ◽  
Pressure Monitoring ◽  
Pressure Load ◽  
Blood Pressure Load

24-Hour Ambulatory Blood Pressure Monitoring in Male Children Receiving Stimulant Therapy

2002 ◽  
Vol 36 (7-8) ◽  
pp. 1142-1149 ◽  
Author(s):  
Cindy D Stowe ◽  
Stephanie F Gardner ◽  
Charles C Gist ◽  
Eldon G Schulz ◽  
Thomas G Wells
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Ambulatory Blood Pressure Monitoring ◽  
Ambulatory Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Correlation Coefficients ◽  
Pressure Monitoring ◽  
Pressure Load ◽  
Stimulant Therapy ◽  
Blood Pressure Load

OBJECTIVE: To determine whether cardiac indices are altered as assessed by 24-hour ambulatory blood pressure monitoring (ABPM) in male children receiving either chronic methylphenidate or dextroamphetamine/levoamphetamine (Adderall) therapy. METHODS: Boys 7–11 years old who were receiving methylphenidate or Adderall for a minimum of 2 months were asked to participate. Subjects wore ambulatory blood pressure monitors for 24-hour periods both off and on stimulant therapy. RESULTS: Subjects (n = 17; 8 methylphenidate, 9 Adderall) were well matched. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate differed between off and on stimulant therapy (p < 0.05). DBP load calculated from ABPM reference data was increased significantly (9.0% ± 5.6% on and 4.8% ± 4.5% off therapy; p < 0.05) while subjects were taking Adderall. There was a trend toward a greater elevation in blood pressure load during awake hours and a more pronounced decrease during the asleep hours for periods on compared with off-stimulant therapy. This trend resulted in significant (p < 0.05) nocturnal dipping on-stimulant phases compared with off-stimulant therapy for both SBP and DBP (Adderall) and SBP (methylphenidate). Two subjects (1 Adderall, 1 methylphenidate) met the criteria to be considered hypertensive based both on mean awake and 24-hour blood pressure load assessments during their on-treatment period. One additional subject receiving Adderall therapy met the criteria to be considered hypertensive based on blood pressure load criteria while off therapy only. Positive correlation coefficients (p < 0.05) were found when comparing stimulant dose (mg/kg) with the percent change of mean SBP, DBP, and heart rate between off and on therapy (r = 0.56, 0.61, and 0.58, respectively). CONCLUSIONS: These preliminary data suggest that blood pressure and heart rate appear to be altered in male patients while receiving stimulant therapy for attention-deficit hyperactivity disorder. Blood pressure and heart rate screening and monitoring during stimulant therapy to determine whether alterations become clinically significant is encouraged.

scholarly journals Comparing differences and correlation between 24-hour ambulatory blood pressure and office blood pressure monitoring in patients with untreated hypertension

2021 ◽  
Vol 49 (6) ◽  
pp. 030006052110161
Author(s):  
Zhenhong Zhang ◽  
Shunyin Wang ◽  
Junru Yan ◽  
Zhiwen Xu ◽  
Dongliang Liang ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Regression Analysis ◽  
Linear Regression ◽  
Ambulatory Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Linear Regression Analysis ◽  
Fasting Blood Glucose ◽  
Left Ventricular ◽  
Office Blood Pressure ◽  
Pressure Index

Objective We assessed differences and correlations between 24-hour ambulatory blood pressure (ABP) and office blood pressure (OBP) monitoring. Methods We conducted an observational study among 85 untreated patients with essential hypertension and measured 24-hour ABP, OBP, target organ damage (TOD) markers, and metabolism indexes. Variance analysis and the Pearson method were used to compare differences and correlation between the two methods. The Spearman or Pearson method was applied to compare the correlation between TOD markers, blood pressure index, and metabolism index. Linear regression analysis was applied to estimate the quantitative relationship between the blood pressure index and TOD markers. Results There were significant differences in the mean and variance of systolic blood pressure (SBP) and diastolic blood pressure and a positive correlation between ABP and OBP. Correlations between the left ventricular mass index (LVMI) and average ambulatory SBP, daytime ambulatory SBP, nighttime ambulatory SBP, and fasting blood glucose were significant. Correlations between left intima-media thickness (IMT) and average ambulatory SBP, nighttime ambulatory SBP, right IMT, and nighttime ambulatory SBP were significant. In linear regression analysis of the LVMI (y) and ambulatory SBP (x), the equation was expressed as y = 0.637*x. Conclusion Nighttime ambulatory SBP may be an optimal predictor of TOD.

Abstract 14769: The Relationship Between Regular Physical Exercise and Nocturnal Blood Pressure in Korean Ambulatory Blood Pressure Monitoring Study

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Bae Keun Kim ◽  
Lee Yonggu ◽  
Lim Young-Hyo ◽  
Jinho Shin
Keyword(s):  
Blood Pressure ◽  
Physical Exercise ◽  
Ambulatory Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Independent Factor ◽  
Pressure Monitoring ◽  
Exercise Frequency ◽  
Nocturnal Dipping ◽  
The Relationship ◽  
Regular Physical Exercise

Introduction: There have been many reports showing that regular physical exercise can reduce the blood pressure (BP). Thus physical exercise is one of the important components of lifestyle modification of hypertension. It is known that nocturnal BP is an independent factor for the cardiovascular event but there are few studies for the relationship between physical exercise and nocturnal BP. Hypothesis: Hypothesized regular physical exercise reduced nocturnal BP, therefore, we aimed to analyze the relationship between regular physical exercise assessed by a questionnaire (7-day physical activity recall) and nocturnal BP in the general population. Methods: Among 4145 subjects whose data for both clinical data and ambulatory blood pressure monitoring (ABPM) data file from the 5308 Korean ABPM (KorABP) study subjects, 3689 subjects were analyzed. The exclusion criteria was age less than 20 years (n=84), missing data for the questionnaire for physical exercise (n=372). Physical exercise was defined as regular structured exercise which intensity was heavier than the fast walking for 30 minutes. The count was recorded as the number per week. Results: Age was 55.5 ± 14.1 years and female was 45.9 %. Prevalence of hypertension, antihypertensive medication (AHM), diabetes and cardiovascular diseases were 58.9%, 32.5%, 13.0%, and 21.1%, respectively. Daytime and nighttime systolic BP was 138.5 ± 17.2 mmHg and 126.3 ± 18.8 mmHg. When adjusted for age, sex, BMI, and AHM, exercise frequency was independently decreased daytime systolic BP (β = -0.52 mmHg per ex-ercise, p = 0.02). For the nighttime systolic BP further adjusted by daytime systolic BP and sleep quality, ex-ercise frequency was an independent factor (β = -0.26 mmHg per exercise, p = 0.002). The statistical significances were observed even for only for 1 times per week. When further adjusted by smoking, exercise frequency was in-dependent for nocturnal dipping (β = 0.18% per exercise, p = 0.015). Conclusions: Regular physical exercise is independently associated with lower nocturnal BP also lower daytime BP and with increased nocturnal dipping, which was independent of AHM status.

scholarly journals Relationship Between Masked Hypertension Measured by Ambulatory Blood Pressure Monitoring and Left Ventricular Global Longitudinal Strain

2021 ◽  
Author(s):  
Ming Fu ◽  
Xiangming Hu ◽  
Shixin Yi ◽  
Shuo Sun ◽  
Ying Zhang ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Ambulatory Blood Pressure Monitoring ◽  
Ambulatory Blood Pressure ◽  
Longitudinal Strain ◽  
Blood Pressure Monitoring ◽  
Global Longitudinal Strain ◽  
Left Ventricular ◽  
Masked Hypertension ◽  
Pressure Monitoring ◽  
The Relationship

Abstract Masked hypertension (MHT), as an independent clinical entity, its subclinical cardiac dysfunction can be early detected by left ventricular global longitudinal strain (GLS). Yet the relationship between MHT and GLS is still unclear. Therefore, we tried to conduct a community-based cross-sectional study to define this relationship. A total of 308 consecutively enrolled participants from Dongguan, China, were divided into non-hypertension (NHT) and MHT groups. Baseline characteristics were recorded, and 2-dimentional speckle-tracking echocardiography and 24-hour ambulatory blood pressure monitoring were performed. Univariate and multivariate linear regression analyses were used to assess the associations between MHT and GLS, and the dose–response curve was plotted to demonstrate their relationship. The mean age of the NHT and MHT groups was 57 and 59 years, respectively. Signs of left ventricular diastolic function, E/A (1.01 ± 0.26 vs 0.86 ± 0.23, P < 0.001) and E/e’ (8.58 ± 2.02 vs 11.70 ± 3.37, P < 0.001) were reduced in the MHT group while those of the NHT group were nearly normal. The MHT group also showed a significantly lower (‘worse’) GLS than NHT (-15.79% ± 2.81% vs -19.62% ± 1.67% vs , P < 0.001) while left ventricular ejection fraction (LVEF) did not differ between the groups. Worse GLS was independently and significantly associated with MHT both in univariate (odds ratio [OR]: 1.97, P < 0.001) and stepwise multivariate regression analysis (OR: 1.99, P < 0.001). Further analysis showed adjusted nonlinear correlation between MHT and GLS. Our study described the relationship between MHT and GLS and concluded that -14% of GLS as the cut-off value reflected MHT-associated myocardial injury before LVEF decreases.

scholarly journals Relationship between transient symptomatic hypotensive episodes and 24-hour blood pressure variability in patients with arterial hypertension

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
S Ermasova ◽  
K Popov ◽  
Y Shvarts
Keyword(s):  
Myocardial Infarction ◽  
Blood Pressure ◽  
Heart Attack ◽  
Blood Pressure Variability ◽  
Blood Pressure Monitoring ◽  
High Variability ◽  
Pressure Monitoring ◽  
Funding Sources ◽  
Low Blood Pressure ◽  
The Relationship

Abstract Purpose Low blood pressure may be as harmful as high. Symptomatic hypotensive episodes should be a manifestation of circulatory disorders of hypertension – mediated organs especially among hypertensive patients. However, the association of such episodes with blood pressure variability is unknown. Aim To study the relationship between the symptomatic hypotensive episodes and the daily blood pressure variability according to the ambulatory blood pressure monitoring (ABPM) in patients with hypertension. Materials and methods 106 patients aged between 40 and 65 years with hypertension were studied. A questionnaire developed by the authors was used to identify symptomatic hypotension. During the study all the subjects had ABPM. Daily blood pressure variability was defined as standard deviation. Results Among all patients, symptomatic hypotensive episodes were observed in 60.6%. Among patients without myocardial infarction or stroke in anamnesis - 52.4%, with ones - 75% participants (p=0.05). Among patient without myocardial infarction or stroke and with symptomatic hypotensive episodes, the high variability of daily systolic BP was observed in 36% of the subjects and averaged 14.3 mm Hg, in the absence of symptomatic hypotensive episodes, the variability of daily systolic BP was 16.3 mm Hg, with a variety of blood pressure exceeding the norm, 80% of the participants (p&lt;0.05). In case of stroke or myocardial infarction in anamnesis and the presence of symptomatic hypotensive episodes, the systolic BP variability of daytime (18.0 mm Hg) and nighttime (14.8 mm Hg) was the highest. The proportion of participants with daily systolic BP variability exceeding the norm was 78%. In the absence of symptomatic hypotensive episodes, the blood pressure variability indicators did not deviate from the norm (p&lt;0.05). Conclusion Heart attack and/or stroke in anamnesis with symptomatic hypotensive episodes are associated with lower daily systolic BP variability (14.3 mm Hg) in comparison with patients without symptomatic hypotensive episodes (16.3 mm Hg). If there were stroke or myocardial infarction in anamnesis, patients with symptomatic hypotensive episodes have higher daily systolic BP variability (18.0 mm Hg) than without hypotensive episodes (14.5 mm Hg). Symptomatic hypotensive episodes are not unidirectionally associated with the variability of blood pressure, the character of the relationship is associated with the presence of heart attack and/or stroke diseases in anamnesis. FUNDunding Acknowledgement Type of funding sources: None.

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